VASW Equal Opportunities Form

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Thank you for supporting Visual Arts South West by completing this anonymous equal opportunities monitoring form.
The form includes 9 questions. All the information provided will be treated confidentially and used anonymously for statistical purposes only. Although you are not under any obligation to complete this form, the information you provide is vital to helping us ensure that we can actively monitor and improve our work in this area.

1. What opportunity did you apply for? *

WEVAA Research and Development Fellowship

WEVAA Research and Development Bursary

Sector Support Manager

2. What is your gender identity *

Female (including trans women)

Male (including trans men)

Non-Binary (e.g. angdrogyne)

Prefer not to say

Not Known

3. What is your current age? *

0-19

20-34

35-49

50-64

65-74

75 years +

Prefer not to say

4. Cultural diversity

It would be helpful for us to have on record information regarding your ethnicity
Please tick the ethnic category that best represents you. Choose one section
from A to E, then tick the appropriate box to indicate your
cultural background.

A: White

English / Welsh / Scottish/Northern Irish / British

Irish

Gypsy or Irish Traveller

Any other white background

Clear selection

B: Mixed or multiple ethnic groups

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed / Multiple ethnic background

Clear selection

C: Asian or Asian British

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Clear selection

D: Black or Black British

Black African

Black Caribbean

Any other Black / African / Caribbean background

Clear selection

E: Other ethnic groups

Arab

Latin American

Any other ethnic group

Clear selection

F: Prefer not to say

Prefer not to say

Clear selection

5. Disability: Do you identify as a deaf or disabled person, or have a long term health condition? *

Yes

Prefer not to say

6. Neuro-diversity: Do you identify as neurodivergent? *

Yes

Prefer not to say

What is the effect or impact of any disability or health condition on your ability to give your best at work? Please write in here (optional):

7. Sexual Orientation: How would you describe your sexual orientation? *

Bisexual

Gay man

Gay woman / lesbian

Heterosexual / straight

Queer / other

Prefer not to say

8. Socio-Economic Background: Please tell us about the occupation of your main household earner when you were aged 14. If this question does not apply to you (because, for example, you were in care at this time), you can indicate this below. *

Modern professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer.

Clerical and intermediate occupations such as: secretary, personal assistant, clerical worker, call centre agent, nursery nurse.

Senior managers and administrators (usually responsible for planning, organising and co-ordinating work, and for finance) such as: finance manager, chief executive.

Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver.

Semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant.

Routine manual and service occupations such as: HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.

Middle or junior managers such as: office manager, retail manager, bank manager, restaurant manager, warehouse manager.

Traditional professional occupations such as: accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.

Short term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for less than a year).

Long term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year).

Retired

This question does not apply to me

I don’t know

Prefer not to say

Other:

9. What is your postcode? (This helps us to understand diversity in different areas). If you would prefer not to say, do not fill this in.

Thank you for your cooperation. The information in this form will be kept confidentially in the Visual Arts South West office.

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